Form CM 2.

1
Financial Administration
Form 2.1
Department of the Interior and Local Government Financial Administration
CY 2021 Seal of Good Local Governance
(For Field Test Purposes Only)

Seal of Good Local Governance – DOCUMENTARY CHECKLIST

Form 2.1 Financial Administration

City/Municipality of : __________________________________ Income Class : _____________

Province : __________________________________ Region : _____________

INSTRUCTIONS: PLEASE READ BEFORE PROCEEDING TO THE ITEMS. LGOO from the Province or C/MLGOO: (1) This
is the list of documents which shall serve as basis in the provision of data for the field test. (2)Tick the box before each
document to indicate availability.

Data Available Documents

1. Audit opinion and recommendations acted upon
2. Compliance with the Full Disclosure Policy (CY 2020 all
quarters and CY 2021 1st quarter posting period
documents) for three (3) conspicuous places
3. Local revenue growth for the 3 consecutive
Ye years (2017 to 2019)
4. Utilization of 20% component of the CY 2019 Internal
Revenue Allotment
5. Utilization of Performance Challenge Fund (CY 2018 and
2019), if applicable
6. Utilization rate of funding assistance from Assistance to
Municipalities program (formerly Bottom-Up Budgeting), if
applicable [for CMs only]
7. Approved CY 2021 annual budget
☐ LGU’s CY 2019 Annual Audit Report by the
Commission on Audit
☐ LGU’s CY 2020 Annual Audit Report by the
Commission on Audit
☐ Form 2E: Photo Documentation
☐ Certified Form 2K (Treasurer’s Office)
☐ Data from SREs prepared by the Treasurer for CYs
2017 to 2019
☐ Certified Form 2K (Treasurer’s Office)
☐ Data from SREs prepared by Local Treasurer for CY
2019
☐ Certified Form 2A (Accounting Office)
☐ Data on PCF status of funds prepared by Local
Accountant for funds received in CYs 2018 and 2019
☐ Certified Form 2A (Accounting Office)
☐ Data on BuB-AM status of funds by Local Accountant
for funds received in CYs 2017 to 2019
☐ Ordinance enacting the LGU’s CY 2021 annual budget

Other Supporting Documents (to be supplied only if the listed documents are NOT yet available)

Data Available Documents

Prepared by:

1
 Department of the Interior and Local Government
CY 2021 Seal of Good Local Governance
(For Field Test Purposes Only)

(Name and Signature)

LGOO from the Province, or
C/MLGOO

Date signed: _____________________________

2
 Form CM 2.1
Financial Administration
Form 2.2
Disaster Preparedness

Seal of Good Local Governance – DOCUMENTARY CHECKLIST

Form 2.2 Disaster Preparedness

City/Municipality of : __________________________________ Income Class : _____________

Province : __________________________________ Region : _____________

INSTRUCTIONS: PLEASE READ BEFORE PROCEEDING TO THE ITEMS. LGOO from the Province or C/MLGOO: (1) This
is the list of documents which shall serve as basis in the provision of data for the field test. (2)Tick the box before each
document to indicate availability.

Data Available Documents

1. 2019 1 Place National Gawad KALASAG Awardee for
st
Best LDRRMCs, or 2019 Hall of Fame Awardee
2. Convened LDRRMC
3. Functionality of LDRRMO
3a. Plantilla LDRRM Officer (Head of office)
3b. Plantilla LDRRMO Staff
4. Approved PDPFP or CLUP and zoning ordinance
☐ Proof of received award
☐ Executive Order/ similar issuance creating LDRRMC
☐ LDRRMC Minutes of the Meeting for CY 2020 and CY
2021 1st quarter
☐ Appointment of LDRRM Officer –Head of Office with CSC
attestation
☐ CSC Resolution granting the LGU authority to take final
action on its appointment, in case the LGU is accredited
☐ Letter for CSC Field Office transmitting copy, and
requesting attestation of appointment, in case LGU is not
accredited
☐ Appointment of LDRRMO staff with CSC attestation
☐ Executive order/ similar issuance for designation of
LDRRMO staff
☐ Approved PDPFP/CLUP
☐ Sanggunian resolution approving CLUP
☐ RLUC resolution approving PDPFP
☐ Copy of zoning ordinance

If PDPFP/CLUP is still being drafted or under review:

☐Copy of the draft PDPFP/CLUP
☐Certification from Regional NEDA if PDPFP is under review
☐Certification from PLUC or Regional HLURB if CLUP is still
under review
5. LDRRM plan and budget ☐ Approved LDRRM Plan
☐ Sanggunian resolution adopting LDRRM Plan
☐ 2021 Annual Investment Program
6. Local Climate Change Action Plan If LCCAP is separate plan:
☐ Approved LCCAP
☐ Sanggunian resolution adopting LCCAP (if separate
plan)
If LCCAP is integrated:
☐ Approved PDPFP/CLUP/CDP
☐ Sanggunian resolution adopting PDPFP/CLUP/CDP
7. Contingency Plan ☐ Approved Contingency Plan for top 1 high risk hazard
1
 Data
8. Utilization rate of LDRRMF’s 70% allocation for disaster
prevention and mitigation, preparedness, response,
rehabilitation and recovery
9. CBDRRM Plans [for cities and municipalities only]
10. Early warning system
11. Evacuation management
11a. System for registration
11b. Equipped and trained SAR or ER teams
11c.Prepositioned goods and resources
Available Documents
☐ Approved Contingency Plan for top 2 high risk hazard
☐ Sanggunian resolution approving the Plan
☐ Signed Report on Utilization of LDRRMF by the Local
Accountant
☐ Certified Form 2A (Accounting Office)
☐ Certified Form 2F (LDRRMO)
☐ One (1) Sample CBDRRM Plan with corresponding BDC
resolution
☐ Approved 2020 Annual Investment Program
☐ Sample posted EWS
☐ List of evacuation centers
☐ Memorandum of Agreement if schools serve as evacuation
center
☐ System of registration stated in the Standard Operating
Procedures or similar document
☐ Sample accomplished registration document for evacuees
☐ Copy of evacuation center info guide
☐ List of organized teams and personnel complement
☐ Inventory of equipment
☐ Accomplishment report of trainings provided to SAR & ER
Teams (with photos)
Memorandum of Agreement or other documents indicating
arrangement with/for:

☐ Volunteer groups;
☐ Supermarkets or groceries;
☐ Pharmacies or medical groups; and
☐ Psycho-social support.

Security services indicated in:

☐ Standards Operating Procedure
☐ PNP Security Plan
11d.Evacuation Guide ☐ Copy of evacuation guide
☐ Certified Form 2F (LDRRMO)
12. Standard Operating Procedures ☐ Standard Operating Procedures (whether a separate
document or integrated in LDRRM Plan or Contingency Plan)
12a. LDRRM Operations Center ☐ EO or similar issuance on the activation of LDRRM OpCen
in case it is temporary or functions 24/7
☐ OpCen Employee logbook
12b. Incident Command System ☐ E.O or similar issuance establishing an incident command
system
☐ Copy of ICS Training Certificate issued by DND-OCD
☐ LDRRMO appointment of staff with ICS training/copy of
designation of said staff to LDRRM Office
☐ LGU ID of staff with ICS training
12c. Pre-emptive and forced evacuation ☐ E.O or similar issuance establishing pre-emptive and
2
 Data Available Documents
forced evacuation

Other Supporting Documents (to be supplied only if the listed documents are NOT yet available)
Data Available Documents

Prepared by:

(Name and Signature)

LGOO from the Province, or
C/MLGOO

Date signed:
_____________________________

3
 Form 2.3
Social Protection

Seal of Good Local Governance – DOCUMENTARY CHECKLIST

Form 2.3 Social Protection

City/Municipality of : __________________________________ Income Class : _____________

Province : __________________________________ Region : _____________

INSTRUCTIONS: PLEASE READ BEFORE PROCEEDING TO THE ITEMS. LGOO from the Province or C/MLGOO: (1) This
is the list of documents which shall serve as basis in the provision of data for the field test. (2)Tick the box before each
document to indicate availability.

Data Available Documents

1. CY 2019 Seal of Child-friendly Local Governance [for ☐ Copy of Certificate provided by CWC for 2019 Seal of
cities and municipalities only] Child-friendly Local Governance (SCFLG)

2. Mechanism for GAD ☐ EO or similar issuance institutionalizing LGU GAD Focal

Point System
☐ Ordinance approving/amending/revising LGU’s GAD Code
☐ Resolution localizing Provincial GAD Code
☐ GAD database or information management (printed,
electronic or online) system that generates gender statistics
and sex-disaggregated data
☐ CY 2020 GAD Accomplishment Report
☐ Certificate of Review and Endorsement of LGU’s GPB CY
2021
☐ Certified Form 2E (DILG Field Office)
☐ Certified Form 2A (Accountant)
☐ Certified Form 2H (Planning and Development Office)
3. Mechanism for VAWC ☐ EO or similar issuance organizing LCAT-VAWC

[for cities and municipalities only]:

4. Local Code for Children
5. Promoting the welfare of PWDs
5a Compliance with Accessibility Law:
5a.1. Ramps with handrails
5a.2. Wheelchair-accessible toilets with grab bar
5b. Functionality of Persons with Disability Office
(PDAO)
☐ List of barangays with VAW Desks/Monitoring
☐ Report of the Submission of Barangay Quarterly VAWC
Reports
☐ Certified Form 2E (DILG Field Office)
☐ Ordinance approving/amending/revising LGU’s Code for
Children
☐ Ordinance localizing Provincial Code
☐ Copy of other Code or ordinance where Local Code for
Children is integrated
☐ Form 2E: Photo Documentation
☐ NHIP Certification for LG buildings declared as historical
sites
☐ Copy of building plan if LG building is under construction
☐ Form 2E: Photo Documentation
☐ Ordinance/E.O creating PDAO
1
 Data
6. Established senior citizens center
7. Indigenous Peoples Mandatory Representation in the
Sanggunian, if applicable
8. Absence of illegal dwelling units OR LGU efforts for
resettlement of informal settlers [for cities only]
9. Fund utilization/ completion of PPAs in CY 2019 for:
a. Senior citizens and PWD
b. LCPC
10. Implementation of Provision of Potable Water Supply-
Sagana at Ligtas na Tubig sa Lahat (SALINTUBIG)
projects
11. DSWD-accredited LGU-managed residential care
facility [for provinces and HUCs only]
12. Functionality of LSWDO
12a LSWDO is a registered social worker
12b Targeting System for Poor and Vulnerable Sectors
and Households
12c Manual of Operations or local guidelines on a case
management system
13. Adopted local policy on social protection
14. Institutionalized Public Employment Service Office
Available Documents
☐ Appointment of PDAO with CSC-attestation
☐ Executive Order designating a PDAO or focal person
☐ Copy of accomplishment report of a PWD-related PPA
☐ Guidelines/ info guide on issuing PWD ID
☐ PRPWD-generated report on the PWDs issued with ID
☐ Form 2E: Photo Documentation
☐ Certificate of Affirmation received by IPMR
☐ NCIP-RO Hold-over resolution
☐ Copy of at least one payroll for CY 2021
☐ Minutes of the Meetings for CY 2020 or CY 2021
☐ Resolution adopting the City Shelter Plan
☐ Status or accomplishment report on housing projects for
CY 2020 target, as indicated in the Plan or AIP
☐ EO or similar issuance creating a task force for the control,
prevention or removal of illegal dwelling units
☐ Certified Form 2H (Planning and Development Office)
☐ Certified Form 2A (Accounting Office)
☐ Certified Form 2H (Planning and Development Office)
☐ Certified Form 2A (Accounting Office)
☐ Data on SALINTUBIG status of funds prepared by Local
Accountant for funds received in CY 2016-2019
☐ Accreditation of the facility issued by DSWD- Standards
Bureau
In case facility is not LGU-managed but LGU provides support
to it:
☐ Accreditation of the facility issued by DSWD- Standards
Bureau
☐ Memorandum of Agreement between LGU and partner-
organization managing the facility
☐ Proof of transfer of resident
☐ Appointment of P/C/MSWDO with CSC-attestation
☐ In case the LGU is accredited, the CSC Resolution
granting the LGU authority to take final action on its
appointment)
☐ PRC license of LSWDO or staff in case of exemption
☐ Database or targeting system (e.g., CBMS, list of
vulnerable individuals)
☐ Manual of operation, local guidelines, and/or citizen’s
charter
☐ Ordinance related to social protection
☐ Ordinance/E.O creating PDAO
2
 Form 2.3
Social Protection

Data Available Documents

☐ Appointment of PDAO with CSC-attestation
☐ Executive Order designating a PDAO or focal person
15. Local development council

15.1. Composition ☐ Executive Order/ resolution creating LDC

15.2. Meetings ☐ Minutes of the Meeting for CY 2018

15.3. Executive committee ☐ Executive Order creating LDC

15.4. Provincial Development and Physical Framework ☐ Copy of Resolution adopting PDPFP
Plan [for provinces only]
15.5. Comprehensive Development Plan [for CMs only] ☐ Copy of Resolution adopting CDP

15.6. Local Development Investment Plan ☐ Copy of Resolution adopting LDIP

15.7. Annual Investment Program ☐ Copy of Resolution adopting AIP

15.8. Secretariat ☐ Executive Order or Resolution creating LDC

15.9. Participation of CSOs ☐ Executive Order or Resolution creating LDC

☐ List of organized and accredited CSOs
☐ Received copy of CSO’s Plan of Action

Other Supporting Documents (to be supplied only if the listed

documents are NOT yet available)
Data Available Documents

Prepared by:

(Name and Signature)

LGOO from the Province, or
C/MLGOO

Date signed:
3
_____________________________

4
 FormForm
CM 2.1
2.3
Financial
SocialAdministration
Protection
Form 2.4
Health Compliance and
Responsiveness

Seal of Good Local Governance – DOCUMENTARY CHECKLIST

Form 2.4 Health Compliance and Responsiveness

City/Municipality of : __________________________________ Income Class : _____________

Province : __________________________________ Region : _____________

INSTRUCTIONS: PLEASE READ BEFORE PROCEEDING TO THE ITEMS. LGOO from the Province or C/MLGOO: No
documents shall be prepared, NGA data will be used for all indicators. Kindly fill out the second column only if local data differ
from the NGA data.

Data Available Documents

(in case local data differ from NGA data)
1. Functional local Epidemiology Surveillance Unit
2. Complete Local Investment Plan for Health (LIPH)
3. Institutionalized DRMM-H system
4. Equal or below mean-benchmark in stunting rate
among children under-five
5. At least 47.5% of households have access to safely-
managed drinking water services
6. CY 2019 rate is equal to, or above 2018 benchmark for
TB Case Notification Rate
7. CY 2019 rate equal to, or above 2018 benchmark for
TB Treatment Success Rate

Other Supporting Documents (to be supplied only if the listed documents are NOT yet available)
Data Available Documents

Prepared by:

1
 (Name and Signature)
LGOO from the Province, or
C/MLGOO

Date signed:
_____________________________

2
 FormForm
CM 2.1
2.3
Financial
SocialAdministration
Protection
Form 2.5
Sustainable Education

Seal of Good Local Governance – DOCUMENTARY CHECKLIST

Form 2.5 Sustainable Education

City/Municipality of : __________________________________ Income Class : _____________

Province : __________________________________ Region : _____________

INSTRUCTIONS: PLEASE READ BEFORE PROCEEDING TO THE ITEMS. LGOO from the Province or C/MLGOO: (1) This
is the list of documents which shall serve as basis in the provision of data for the field test. (2)Tick the box before each
document to indicate availability.

Data Available Documents

1. Functional local school board

1a Composition ☐ EO or similar issuance organizing the LSB

1b Meetings
1c CY 2019 LSB Plan fund utilization/ completion
☐ Minutes of the Meeting CY 2020 and CY 2021
☐ Certified Form 2D (DepEd)
☐ Certified Form 2D (DepEd)
☐ CY 2019 Accomplishment Report of LSB Plan
☐ CY 2019 Financial Report of LSB Plan

Other Supporting Documents (to be supplied only if the listed documents are NOT yet available)
Data Available Documents

Prepared by:

(Name and Signature)

LGOO from the Province, or
C/MLGOO

1
Date signed:
_____________________________

2
 FormForm
CM 2.12.3
Financial
Social
Administration
Protection
Form 2.6
Business-friendliness
and Competitiveness

Seal of Good Local Governance – DOCUMENTARY CHECKLIST

Form 2.6 Business-friendliness and Competitiveness

City/Municipality of : __________________________________ Income Class : _____________

Province : __________________________________ Region : _____________

INSTRUCTIONS: PLEASE READ BEFORE PROCEEDING TO THE ITEMS. LGOO from the Province or C/MLGOO: (1) This
is the list of documents which shall serve as basis in the provision of data for the field test. (2)Tick the box before each
document to indicate availability.

Data Available Documents

1a. Finalist of the PCCI's Most Business-Friendly LGUs Award
1b. Ranked among the Top 20 Provinces/ Cities/
Municipalities in the CY 2020 Competitiveness Index
2. Presence of local economic development and investment
promotion office
3. Presence of citizen’s charter for securing permits for new
business and business renewal
[for cities and municipalities only]
4. Simplified business processing and licensing system [for
cities and municipalities only]
Business One Stop-Shop [for cities and municipalities
only]
5. Tracking system for business / investment-related data
[for cities and municipalities only]
6. Local Investment Incentive Code [for cities only]
☐ Copy of Recognition received from PCCI
☐ Copy of Recognition received from DTI-CB
☐ Executive order or similar issuance creating the LEIPO
or designating an officer for LEIP with listed functions, duties
and responsibilities
☐ Form 2E: Photo Documentation
☐ Ordinance or similar issuance adopting citizen’s charter
☐ Sample transactions for renewal and new businesses for
2021
☐ Certified Form 2B (BPLO)
☐ Memorandum of Agreement or any document that
proves the establishment of BOSS (seasonal or all-year
round)
☐ Database or electronically-generated report where
business application forms are tracked and summarized
☐ Copy of Ordinance approving/amending the LIIC

Other Supporting Documents (to be supplied only if the listed documents are NOT yet available)
Data Available Documents

Prepared by:

1
 FormForm
CM 2.3
2.1
Financial
SocialAdministration
Protection

(Name and Signature)

LGOO from the Province, or
C/MLGOO

Date signed:
_____________________________
Form 2.7
Safety, Peace and Order

Seal of Good Local Governance – DOCUMENTARY CHECKLIST

Form 2.7 Safety, Peace and Order

City/Municipality of : __________________________________ Income Class : _____________

Province : __________________________________ Region : _____________

INSTRUCTIONS: PLEASE READ BEFORE PROCEEDING TO THE ITEMS. LGOO from the Province or C/MLGOO: (1) This
is the list of documents which shall serve as basis in the provision of data for the field test. (2)Tick the box before each
document to indicate availability.

Data Available Documents

1. Provision of logistical support to the PNP
2. Organized and trained BPATs, barangay tanods, and/or
any similar unit [for cities and municipalities only]
3. Drug-cleared barangays
4. Firecracker and pyrotechnic devices regulation [for
cities and municipalities only]
5. LGU statistics on crime
☐ Certified Form 2I (Local PNP)
☐ Certified Form 2I (Local PNP)
☐ List of barangays with organized BPATs, barangay tanods,
and/or other similar units
☐ List of barangays with trained BPATs, barangay tanods,
and/or other similar units
☐ Certification of drug-cleared barangay per DDB Res. No. 3
s.2017
☐ Ordinance or similar issuance stating total ban of
firecrackers and pyrotechnic devices OR designating specific
zones for manufacturing, display and exhibition of firecrackers
☐ Certified Form 2I (Local PNP)

Other Supporting Documents (to be supplied only if the listed documents are NOT yet available)
Data Available Documents

2
Prepared by:

(Name and Signature)

LGOO from the Province, or
C/MLGOO

Date signed:
_____________________________

3
 FormForm
CM 2.3
2.1
Financial
SocialAdministration
Protection
Form 2.8
Environmental Management

Seal of Good Local Governance – DOCUMENTARY CHECKLIST

Form 2.8 Environmental Management

City/Municipality of : __________________________________ Income Class : _____________

Province : __________________________________ Region : _____________

INSTRUCTIONS: PLEASE READ BEFORE PROCEEDING TO THE ITEMS. LGOO from the Province or C/MLGOO: (1) This
is the list of documents which shall serve as basis in the provision of data for the field test. (2)Tick the box before each
document to indicate availability. (3) For each available document other than the Certified Forms and photos, highlight the
portion, word or phrase that supports the data being required.

Data Available Documents

1. Convened local solid waste management board
2. No operating open and/or controlled dumpsite [for cities
and municipalities only]
3. Approved 10-Year Solid Waste Management Plan
4. Materials Recovery Facility [for cities and municipalities
only]
5. Access to sanitary landfill [for cities and municipalities
only]
☐Copy of Executive Order or similar issuance creating the
LSWMB
☐Minutes of the meeting in CY 2020
☐ Certified Form 2M (Local ENRO)
☐ Approved Safe Closure and Rehabilitation Plan
☐ Certification/Inspection Report from DENR-EMB regional
office stating that LGU’s dumpsite is already closed (if not yet
closed per NGA data)
☐ Received copy of LGUs letter to EMB requesting for
technical assistance in crafting SCRP
☐ Issuance from NSWMC approving the LGU’s SWM Plan
☐ Approved SWM Plan
☐ In the case Plan is still under review of NSWMC: Copy of
letter duly received by the NSWMC requesting the agency to
review SWM Plan of LGU
☐ Form 2E: Photo Documentation
☐ If facility is in partnership with a private entity:
Memorandum of Agreement
☐ Certified Form 2M (Local ENRO)
☐ Form 2E: Photo Documentation
☐ Memorandum of Agreement if sanitary landfill is in
partnership with other LGU/private entity
☐ Project progress report of on-going construction of sanitary
landfill
☐ Proof that alternative technology is recognized by DENR-
NSWMC/EMB as alternative to sanitary landfill

Other Supporting Documents (to be supplied only if the listed documents are NOT yet available)
Data Available Documents

1
Prepared by:

(Name and Signature)

LGOO from the Province, or
C/MLGOO

Date signed:
_____________________________

2
 FormForm
CM 2.12.3
Financial
Social
Administration
Protection
Form 2.9
Tourism, Heritage
Development, Culture
and the Arts

Seal of Good Local Governance – DOCUMENTARY CHECKLIST

Form 2.9 Tourism, Heritage Development, Culture and the Arts

City/Municipality of : __________________________________ Income Class : _____________

Province : __________________________________ Region : _____________

INSTRUCTIONS: PLEASE READ BEFORE PROCEEDING TO THE ITEMS. LGOO from the Province or C/MLGOO: (1) This
is the list of documents which shall serve as basis in the provision of data for the field test. (2)Tick the box before each
document to indicate availability.

Data Available Documents

1. Tourism Development
1.1. Presence of a local tourism office or officer
1.2. Tourist information and assistance center or desks
1.3. Tracking system of tourism data
2. Cultural Heritage Promotion and Conservation
2.1. Presence of a local council for culture and the arts
2.2. Utilization of the budget appropriated for the
conservation and preservation of cultural property,
CY 2019
2.3. Presence of a Cultural property inventory/registry in
the LGU
2.4. Documented and published narrative of history and
culture
☐ Certified Form 2H (PDO)
☐ EO or similar issuance creating a local tourism office or
designating an officer for tourism development and
promotion with listed functions, duties and responsibilities
☐ Appointment of local tourism officer with CSC attestation
☐ Form 2E: Photo Documentation
☐ Ordinance or similar issuance creating the tourist
information and assistance center or desk
☐ Database or record book where tourism data are tracked
and summarized (scanned copy)
☐ Form 2E: Photo Documentation
☐ Copy of Sanggunian Resolution or similar issuance
creating a local council for culture and the arts
☐ Certified form 2A (Local Accountant)
☐ Copy of 2019 Annual budget
☐ Copy of 2019 Annual Investment Program
☐ Inventory of cultural property
☐ Letter of acknowledgement from NCCA
☐ Copy of published narrative
☐ Form 2E: Photo Documentation
☐ Proof of LGU acknowledging narrative published by a
third party

Other Supporting Documents (to be supplied only if the listed documents are NOT yet available)
Data Available Documents

1
Prepared by:

(Name and Signature)

LGOO from the Province, or
C/MLGOO

Date signed:
_____________________________

2
 Form CM 2.1
Financial Administration
Form 2.10
Youth Development

Seal of Good Local Governance – DOCUMENTARY CHECKLIST

Form 2.10 Youth Development

City/Municipality of : __________________________________ Income Class : _____________

Province : __________________________________ Region : _____________

INSTRUCTIONS: PLEASE READ BEFORE PROCEEDING TO THE ITEMS. LGOO from the Province or C/MLGOO: (1) This
is the list of documents which shall serve as basis in the provision of data for the field test. (2)Tick the box before each
document to indicate availability.

Data Available Documents

1. Functional youth development council
1.1. Structure
1.2. Meetings
1.3. Trained members
2. Established youth development office
2.1. Designated officer
2.2. Database of youth organizations
2.3. At least 50% utilization of appropriated CY 2019
budget for youth development
2.4. Provided TA in conduct of training for SK and LYDC
1
☐ Executive order or similar issuance creating the LYDC
☐ LYDC Minutes of the Meetings for 2020
☐ Training Certificates
☐ Post-Activity Report / Highlights of the training with photo
documentation
☐ Appointment of LYDO Officer – Head of Office with CSC
attestation
☐ Executive Order or similar issuance for designation of
LYDO Officer
☐ CSC Resolution granting the LGU authority to take final
action on its appointment, in case the LGU is accredited
☐ Letter for CSC Field Office transmitting copy, and
requesting attestation of appointment, in case LGU is not
accredited
☐ Updated list of youth organizations or youth serving
organizations registered and verified under YORP
☐ Process Flow of Registration (or has at Revitalized
YORP Guidelines on hand, if localized flow is not
available)
☐ List of Registration Certificates issued to Youth
Organizations
☐ Certified Form 2A (Accounting Office)
☐ CY 2019 Approved Annual Work and Financial Plan
(WFP) for LYDO signed by LCE and Budget Officer,
supported by a Resolution from the LDC
☐ Post-Activity Report / Highlights of the training with photo
 Form 2.3
Social Protection

Data Available Documents

members documentation
3. Local youth development plan ☐ Approved LYDP with LYDC Resolution approving the
LYDP
☐ Approved CDP

If LGU has no approved LYDP:

4. LGU support to youth development
☐ LYDC Certification that final draft of LYDP is
currently under review
☐ Received copy of letter from SK Federation
transmitting copy of final draft LYDP to LYDC for
review
☐ Photo-documentation of the youth development
facility/ies or designated space/s
☐ Approved Annual Investment Program (AIP) for CY
2020

Other Supporting Documents (to be supplied only if the listed documents are NOT yet available)
Data Available Documents

Prepared by:

(Name and Signature)

LGOO from the Province, or
C/MLGOO

2
Date signed:
_____________________________